北京大学学报（医学版）2024，Vol.56Issue(5)：938-941,4.DOI:10.19723/j.issn.1671-167X.2024.05.030
中心静脉导管拔除后静脉空气栓塞1例
Venous air embolism following removal of central venous catheters:A case report
万利 1张周沧 1丁嘉祥 1王梅2
作者信息
- 1. 北京大学国际医院肾脏内科,北京 102206
- 2. 北京大学人民医院肾内科,北京 100044
- 折叠
摘要
Abstract
Air embolism is a rare but dreaded complication of medical or surgical procedures with sig-nificant mortality.An abnormal air-to-blood pressure gradient and communication between the vein and atmosphere can lead to the venous air embolism.Here,we presented a rare case of venous air embolism just after the removal of the central venous catheters.A 59-year-old female was admitted to Peking Uni-versity International Hospital suffering from neuromyelitis optica spectrum disorder.After 5 rounds of im-munosorbent therapy,her hemodialysis catheter was removed.Five hours later,she suddenly experienced shortness of breath,dizziness,weakness of the lower extremities,transient loss of consciousness and sei-zures.Ultrasound showed a small amount of gas in the right internal jugular vein and brain CT showed scattered air accumulation in part of venous blood ducts and bilateral cavernous sinuses,which was diag-nosed as air embolism.High-flow oxygen inhalation,compression of the right neck extubation site,head down and feet up left decubitus position,intravenous fluid therapy were used.The patient gradually im-proved and returned to normal activities after one week.To sum up,air embolism is a rare,but serious and life-threatening complication after central catheters removal.Clinicians need to be alerted and take appropriate preventive measures.关键词
中心静脉导管插入术/空气栓塞/并发症/预防Key words
Central venous catheterization/Air embolism/Complications/Prevention分类
医药卫生引用本文复制引用
万利,张周沧,丁嘉祥,王梅..中心静脉导管拔除后静脉空气栓塞1例[J].北京大学学报（医学版）,2024,56(5):938-941,4.
